Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in South Charleston, WV: $57.79

Avg. Paid

$57.79

Range

$0.00 – $130.86

Total Claims

745,810

Providers

159

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in South Charleston, WV

Provider	Avg. Paid	Claims	Patients
Cheryl Ann Cox 4607 Maccorkle Ave Sw Ste 406	$44.45	13	13
Elizabeth Kristi Hensley 509 2Nd Ave	$51.63	14	12
Richard D Hayes 312 6Th Ave	$41.34	15	14
Nicole Rashid Md Pllc 4513 Maccorkle Ave Sw	$80.99	15	14
Kelsey Dawn Mathis 401 Division St Ste 306	$62.21	19	14
Dragana Orlovic 500 Poplar St Ste 201	$8.57	19	12
Rebecca J Donohoe 4820 Kentucky St	$83.37	20	12
Alexius Jade Ramsey 2102 Weberwood Dr	$39.53	24	24
Hannah Elisabeth Guilliams 1563 Sand Plant Rd	$0.00	25	25
Elie G Gharib 4610 Kanawha Ave Sw	$68.37	26	26
West Virginia Cornea & Cataract Center Of Excellence 300 Technology Dr	$108.88	26	26
Edward W Eskew 4605 Maccorkle Avenue, Sw	$33.43	27	13
Elizabeth Parsons 415 D St	$29.93	27	27
Franklin Scott Moore 4501 Maccorkle Ave Sw	$83.14	27	24
Kellie Anne Hansel 4610 Kanawha Ave Sw Ste 200	$20.45	28	28
Muriel June Wilson 4605 Maccorkle Ave Sw	$111.89	30	29
Sharon G. Lake 4607 Maccorkle Ave Sw	$42.37	33	30
Nicole Wiley 401 Division St	$62.59	40	40
Katherine Elizabeth Boggs 4619 Kanawha Avenue Sw	$20.41	41	40
Jarena Jan Kelly 506 Chestnut St	$65.04	42	41
Kristine K Agnew 4607 Maccorkle Ave Sw Ste 206	$26.81	42	33
Kimberly Rebecca Saul 4607 Maccorkle Ave Sw Ste 401	$32.76	47	46
Amanda Michelle Sanderson 4610 Kanawha Ave Sw Ste 401	$69.53	48	41
Akhil Kiran Patel 401 Division St Ste 306	$31.27	51	39
Mark Edward Javins 610 Chestnut St	$27.79	52	51
Jory Christopher James Gotham 4607 Maccorkle Ave Sw Ste 401	$42.09	66	58
Pamela Kay Frame 4605 Maccorkle Ave Sw	$53.16	71	62
Stephanie Shamma 4605 Maccorkle Ave Sw	$0.00	83	70
Sreedevi Ramakrishnaiah 4605 Maccorkle Ave Sw	$48.95	89	83
Kristin Lynn Boyd 4619 Kanawha Ave Sw	$18.17	92	90
Joyell Johnston-Bishop 400 Division St Ste 6	$20.05	104	99
Lawrence B. Kelly, Md Pllc 4825 Maccorkle Ave Sw Ste C	$62.79	104	94
Anmar Naser Alrabadi 24 Maccorkle Ave Sw	$37.71	105	90
Renal Consultants, Pllc 24 Maccorkle Ave Sw	$77.04	106	95
Mitchell N. Rashid 4610 Kanawha Ave Sw Ste 200	$39.39	110	102
Bethany Dawn Hoylman 4605 Maccorkle Ave Sw	$47.93	113	105
Kara Gray 4607 Maccorkle Ave Sw Ste 406	$34.43	121	117
Lailah Marie Rice 4610 Kanawha Ave Sw Ste 200	$18.39	131	125
Justin Kiel Medlin 610 Chestnut St	$40.34	131	113
Renetta Elaine Brewer 4610 Kanawha Ave Sw	$24.90	131	121
Howard Wesley Lafferty 509 2Nd Ave	$0.15	133	131
Nicole M Rashid 4513 Maccorkle Ave Sw	$42.21	146	129
William David Mccormick 60 Castle Pine Ln	$23.60	157	137
Gary D Harris 4501 Maccorkle Ave Sw	$1.05	157	146
Kelly R Jeffery 4605 Maccorkle Ave Sw	$39.84	159	147
David Leon Soulsby 610 Chestnut St	$29.79	165	150
Katie Carpenter 4202 Maccorkle Ave Sw Ste 200	$33.66	175	151
Jeremy Lee Smith 4619 Kanawha Ave Sw	$21.43	185	179
Robert Vaughn Lamb 24 Maccorkle Ave Sw	$39.28	187	167
Madalynn Marie Raynor 610 Chestnut St	$18.50	189	178

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in South Charleston, WV?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Charleston, WV is $57.79 per claim, based on 745,810 claims from 159 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in South Charleston, WV?

There are 159 Medicaid providers offering Office Visit related services in South Charleston, WV according to public payment data.

What is the price range for Office Visit in South Charleston, WV?

Medicaid reimbursement for Office Visit in South Charleston, WV ranges from $0.00 to $130.86 per claim, with an average of $57.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in South Charleston, WV: $57.79

Providers Offering Office Visit in South Charleston, WV

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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